| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $95.38 | $120.28 | $136.65 | |
CareSource
| Professional | $191.87 | $296.56 | $296.56 | |
Cigna
| Professional | $128.52 | $179.07 | $701.60 | |
United
| Professional | $95.93 | $139.04 | $250.45 |